Stenting for Common Carotid Artery Stenosis Using the Sheath Pull-Through Technique

Abstract

Objective: We report the “sheath pull-through technique” for stenting of common carotid artery stenosis (CCAS).

Case Presentations: In this technique, an 8–10 Fr super-long sheath (SLS) 55–65 cm is inserted into the femoral artery and the brachiofemoral pull-through technique is subsequently used, improving the support of the sheath itself. We pulled both ends of a pull-through wire to further improve the support of SLS, stabilizing guiding catheter (GC) during the procedure in two cases.

Conclusion: This technique stabilizes GC during CCAS stenting.